HomeMy WebLinkAboutpitkin.eh.273513300118 (1976)a--:� 35- -133- C)O--�rb �2�-'/C
PITKIN COUNTY HEALTH DEPARTMENT
PERMIT NUMBER
76042 RECEIPT NUMBER
- /1
CSG 1142 Phone No.
Owner
Owner's Mailing Address
Phone No.
Contractor
Address
System's Contractor's Name
Address
Legal Description
Lot Size Type of Building by Use 1
Number of Bedrooms
Type ater Supply \'11el�
Date
Owner's Signature
PLOT PLAN: ATTACHED AS REQUIRED
Type of Individual Sewage Disposal System
Type of Soil or Soil Classification
Al A11A
Proximal Location of Bedrock
Proximal Location of Ground Water Table
Minutes Per Inch
Percolation Test Date to
Minimum Recommended Absorption System Size
Minimum Recommended Tank Size
NOTICE
Special Conditions of Issue: when properly signed for issuance, this application
P
becomes your permit. Application valid one year from
date. individual sewage disposal permit is issued
for property
pee rty on which no building permit has been
issued, the individual sewage disposal permit shall
expire 120 days after its issuance if construction has
not been commenced. Any change in plans or speci-
fications after the permit has been issued invalidates
the permit, unless approval is secured from the Health
Officer for suc change
Date
Approved for Issuance By
FINAL INSPECTION APPROVAL
'f _ Si'-� Date
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